Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00287275 Renewal 04/21/2026 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.111(e)Licensor was unable to access the fire extinguisher in the attic to study the label due to an unsafe pull-down ladder. The ladder dangled when pulled down as the length of it was too short. A makeshift platform was available to slide onto a basement step which is still potentially dangerous. The ladder should measure the proper distance to reach a secure landing. A fire extinguisher shall be accessible to staff persons and individuals. 1. Immediate Correction of Identified Violation: On 4/22/2026, the Property Manager contacted a licensed contractor to relocate the attic access to a compliant, accessible area. A site visit for the quote was completed on 4/23/2026. The relocation of the access was completed on 4/30/2026 to ensure full compliance with accessibility requirements. Evidence: Attachment 1 (Scheduling, Contractor work order, completed project notification, & photos before and after). 2. Systemic Review of All Locations: By 5/4/2026, the Property Manager/Program Director will conduct a comprehensive audit of all attic access points across all agency sites using a modified licensing inspection instrument. This audit will specifically assess compliance with 55 PA Code § 6400.111(a). Any site found to be noncompliant will have a site-specific corrective action plan developed within 15 days of the audit. Evidence: Attachment #2 (Completed audit tool/summary of findings). 05/04/2026 Implemented
SIN-00140087 Renewal 08/08/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.67(a)The basement ceiling had about 6 holes.Floors, walls, ceilings and other surfaces shall be in good repair. 1. The maintenance department repaired the ceiling on 8/10/2018. See attachment #5. 2. The Program Coordinator will complete site inspections on all other programs by 11/15/2018 and document compliance with 55 PA Code Chapter 6400.67(a) on the Licensing Inspection Instrument Score Sheet Section Physical Site. All areas of non-compliance will result in a maintenance request to be fixed. 3. In order to prevent reoccurrence, the Program Coordinator retrained the Program Supervisors on 55 PA Code Chapter 6400.67(a) on 10/11/2018. See attachment # 2. The Program Supervisor will retrain staff whenever physical site non-compliance is recognized. The Program Coordinator/Property Manager will conduct site inspections for each licensed program once a quarter. All areas of non-compliance will result in a maintenance/supervisor request to be corrected through the agency electronic submission. All areas of non-compliance will result in a immediate corrective action and staff retraining. The Program Director trained staff responsible for the Plan of Correction on 10/3/2018. See Attachment #9. 11/15/2018 Implemented
6400.76(a)The second kitchen cabinet door from the left had its door unable to close. Furniture and equipment shall be nonhazardous, clean and sturdy. 1. The maintenance repaired the kitchen cabinet on 8/10/20018. See attachment #6. 2. The Program Coordinator will complete site inspections on all other programs by 11/15/2018 and document compliance with 55 PA Code Chapter 6400.76(a) on the Licensing Inspection Instrument Score Sheet Section Physical Site. All areas of non-compliance will result in a maintenance request to be fixed. 3. In order to prevent reoccurrence, the Program Coordinator retrained the Program Supervisors on 55 PA Code Chapter 6400.76(a) on 10/11/2018. See attachment #2. The Program Supervisor will retrain staff whenever physical site non-compliance is recognized. The Program Coordinator/Property Manager will conduct site inspections for each licensed program once a quarter. All areas of non-compliance will result in a maintenance/supervisor request to be corrected through the agency electronic submission. All areas of non-compliance will result in a immediate corrective action and staff retraining. The Program Director trained staff responsible for the Plan of Correction on 10/3/2018. See Attachment #9. 11/15/2018 Implemented
SIN-00207654 Renewal 06/28/2022 Compliant - Finalized
SIN-00075043 Renewal 01/27/2015 Compliant - Finalized